Keith C Winternheimer DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

019024049 Issued in IL

Legal business name

KEITH C WINTERNHEIMER DDS PC

Practice address

610 North Court
Grayville, IL 62844-1002

Phone

(618) 375-6341

NPI assigned

Sep 29, 2006

Last updated

Jan 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Clarence Winternheimer, DDSNPI 1700221074

Title

President

Phone

(812) 985-7772

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Clarence Winternheimer, DDS

  • Dentist
  • Grayville, IL
  • NPI 1700221074
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1477645216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S POSEY COUNTY LINE ROAD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477129301",
            "telephone_number": "812-985-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTH COURT",
            "city": "GRAYVILLE",
            "state": "IL",
            "postal_code": "628441002",
            "telephone_number": "618-375-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C WINTERNHEIMER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WINTERNHEIMER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-985-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009321A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Demaret
• Grayville Community Unit School District #1
• Grayville Cusd #1
• Haven of Wabash, LLC
• Sherrill Kay Hinds, PA-C
• Ketan C. Vyas, M.D., LLC
• Alicia Kinsolving, PA-C
• Lehman Chiropractic LLC (Yoos Chiropractic Clinic)
• Kristina Catherine Celia Lehman, D.C.
• Christopher James Magulick, DO

• Dentist in Grayville, IL
• Providers in Grayville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.